Kelly Fay
North Chelmsford,US
Summary
Dynamic professional with extensive experience at Harvard Pilgrim Health Care, specializing in client relationship management and data visualization. Proven ability to utilize SQL and Tableau to enhance operational efficiency and inform strategic decisions. Skilled in fostering collaboration across teams to achieve organizational goals and improve service quality.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Lead Employer Performance Consultant
Harvard Pilgram Health Care
Canton
06.2007 - 10.2025
- Conducted in-depth evaluations of healthcare programs and presented findings to senior management and key clients to inform strategic decisions.
- Utilized advanced analytical tools to monitor key performance indicators, ensuring alignment with organizational goals.
- Analyzed performance metrics to identify trends for key clients, recommending operational improvements to enhance efficiency.
- Developed insightful dashboards that highlighted critical business KPIs for key clients, facilitating data-driven discussions.
- Implemented automated reporting systems in Tableau, significantly reducing manual effort while ensuring data integrity and consistency across the organization.
Contract Specialist
Tufts Health Plan
Waltham, US
06.2000 - 06.2007
- Functioned as a liaison between clients and development teams, ensuring timely communication during critical incidents.
- Led initiatives to document workflows, enhancing compliance with best practices and minimizing errors.
- Evaluated support metrics regularly to inform continuous improvement efforts within the department.
- Analyzed customer feedback to refine support strategies, elevating service quality and client satisfaction.
Reimbursement Analyst
Tufts Health Plan
Waltham, US
03.1998 - 06.2000
- Analyzed reimbursement claims for accuracy and compliance with regulations.
- Streamlined reimbursement workflows, reducing claim processing turnaround times.
- Reviewed and processed medical billing to ensure timely payments.
- Collaborated with cross-functional teams to resolve complex reimbursement issues, enhancing overall claim resolution effectiveness.
- Collaborated with healthcare providers to resolve billing discrepancies.
Enrollment Specialist
Tufts Health Plan
Waltham, US
12.1996 - 03.1998
- Processed enrollment applications for health plans efficiently and accurately.
- Streamlined enrollment processes, improving applicant experience and decreasing processing time.
- Assisted clients in understanding plan options and benefits clearly.
- Collaborated with departments to maintain accurate data entry and uphold regulatory compliance.
- Coordinated communication between members and internal teams for issue resolution.
Education
Bachelor of Science (B.S.) - Business Management
Lesley University
Cambridge, MA, US06-2007
Skills
- Client relationship management
- SQL proficiency
- Tableau certification
- Data visualization
- Microsoft Suite expertise
- Organizational skills
- Team collaboration
Certification
- Certified as consumer, author, and designer in Tableau.
- Tufts merged with Harvard Pilgrim Health Care and the umbrella corporation is known as Point32Health.
Timeline
Lead Employer Performance Consultant
Harvard Pilgram Health Care
06.2007 - 10.2025
Contract Specialist
Tufts Health Plan
06.2000 - 06.2007
Reimbursement Analyst
Tufts Health Plan
03.1998 - 06.2000
Enrollment Specialist
Tufts Health Plan
12.1996 - 03.1998
Bachelor of Science (B.S.) - Business Management
Lesley University